DR. ANDREW RYAN KENNEDY (NPI# 1649748161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649748161 |
| Entity Type | Individual |
| Full Name | DR. ANDREW RYAN KENNEDY |
| Credential | PHARM.D. |
| Practice Address |
1910 Santa Fe Dr Pueblo CO 81006-1452 |
| Practice Telephone | 7195422477 |
| Practice Fax Number | 7195444469 |
| Mailing Telephone | 7195422477 |
| Mailing Fax Number | 7195444469 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21054 | CO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE BOARD OF PHARMACY | 21054 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256491 | Andrew Kennedy | Behavior Technician | 148 W Sampson St, Imperial, CA 92251-8828 | 2019-07-15 |
| 1871730077 | Andrew James Kennedy IIi | Pharmacist | 82 Liborio Ln, Smyrna, DE 19977-7711 | 2009-01-10 |
| 1306907118 | Andrew A Kennedy | Physical Therapist | 530 N Hough St Ste 130, Barrington, IL 60010 | 2006-12-13 |
| 1699228692 | Andrew Dale Kennedy | Dentist | 128 South 300 West, Bicknell, UT 84715 | 2016-07-27 |
| 1538542519 | Andrew C Kennedy | Physician Assistant | 721 American Ave, Suite 510, Waukesha, WI 53188-5071 | 2015-07-08 |
| 1801236070 | Andrew Ricard Kennedy | Physician Assistant | 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 | 2013-07-02 |
| 1366534125 | Andrew David Kennedy | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-09-29 |
| 1467472167 | Andrew K Kennedy | Anesthesiology | 1701 Senate Blvd, Indianapolis, IN 46202-1239 | 2006-07-19 |
| 1467491019 | Andrew Scott Kennedy | Radiology | 2410 Patterson St, Basement Level, Nashville, TN 37203-1551 | 2006-06-06 |
| Street Address |
1910 SANTA FE DR |
| City | PUEBLO |
| State | CO |
| Zip Code | 81006-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609984194 | Blende Drug Inc | Pharmacy | 1910 Santa Fe Dr, Pueblo, CO 81006-1452 | 2006-08-26 |
| 1851868160 | John Joseph Cernac | Pharmacist | 1910 Santa Fe Dr, Pueblo, CO 81006-1452 | 2018-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181760 | Kaitlyn Pullara | Registered Nurse | 1 El Pueblo Way, Pueblo, CO 81006 | 2020-10-13 |
| 1528593167 | Melissa Dasher | Dental Hygienist | 1292 Zinno Blvd, Pueblo, CO 81006 | 2017-04-20 |
| 1043588833 | Johnathan Seamus Waters | Radiologic Technologist | 2223 Daniel Road, Pueblo, CO 81006 | 2011-12-07 |
| 1992858344 | El Pueblo Boys' and Girls' Ranch, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1 El Pueblo Ranch Way, Pueblo, CO 81006 | 2007-01-19 |
| 1740347996 | Jose Luis Ramirez | Physician Assistant | 45825 Highway 96 East, Pueblo, CO 81006 | 2007-01-03 |
| 1730514019 | Tammy Kay Salmon | Social Worker | 1 El Pueblo Ranch Way, Pueblo, CO 81006 | 2013-09-05 |
| 1518062074 | American Medical Response of Colorado Inc | Ambulance | 922 S Santa Fe Ave, Pueblo, CO 81006-1125 | 2006-09-13 |
| 1255654935 | B-4 Day Program and Residential Services Inc. | Day Training, Developmentally Disabled Services | 110 Santa Fe Dr, Pueblo, CO 81006-1174 | 2010-03-09 |
| 1467083022 | Stephanie Ortega | Counselor | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-01-31 |
| 1053918623 | Health Solutions | Clinic/Center | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-10-06 |
| Find all providers in zip 81006 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861031502 | James Mark Faoro | Pharmacist | 27197 Torchey Way, Pueblo, CO 81006-9757 | 2019-12-28 |
| 1710445424 | Linda Jean Holzrichter | Pharmacist | 1925 E Orman Ave Ste 102, Pueblo, CO 81004-3500 | 2019-03-12 |
| 1225529811 | Megan Keller | Pharmacist | 30393 Everett Rd, Pueblo, CO 81006-9548 | 2018-05-20 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1285161802 | John David Buglewicz | Pharmacist | 1545 S Prairie Ave, Pueblo, CO 81005-2312 | 2017-05-13 |
| 1689114118 | Chandler Follett | Pharmacist | 4743 Eagleridge Cir Apt 305, Pueblo, CO 81008-2277 | 2017-03-02 |
| 1184174229 | Russell Smith | Pharmacist | 2114 Chatalet Ln Apt L, Pueblo, CO 81005-4602 | 2016-10-13 |
| 1134532377 | Karl Aguilera | Pharmacist | 10 Hampton Ln, Pueblo, CO 81001-1722 | 2014-06-05 |
| 1316218035 | Gregory Rice | Pharmacist | 41 Montebello Rd Ste 122, Pueblo, CO 81001-1366 | 2012-01-26 |
| 1023387206 | Adetola A Obiwole | Pharmacist | 4602 N Elizabeth Street Ste. 190, Pueblo, CO 81008-2093 | 2011-12-18 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on DR. ANDREW RYAN KENNEDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.